Laserfiche WebLink
(p O J <br /> � APPLICATe�JN FOR CON�TRUG-r10N PERMIT <br /> ; ^ J everett � <br /> ; � ���� e <br /> (M EvBNretln �•���� � <br /> 1 l.i�.lx_� <br /> � CiTV OF <br /> everett <br /> ; BUILDING DEPARTMENT TO BE COMPLETED IN INK-PLEASE PRINT <br /> i 259•8810 i �(MECHANICAL �PLUMBING L� SIGN <br /> � ❑ DEMOLITION I I COMBINATION x BUILDING <br /> I OWNEF MRILAD�RE55 CIIY 21P PHONE �� ���� <br /> ; -r�.. �,-� �'r Cr�n��-r����;an ��13� ar �c,� f�_��.�t� 9 <br /> TG�(� CITV ZIP ��1 PHONE <br /> TENANT M�ILA�Df1E55 <br /> � ARCNIIECTORUESIGNER MRILAOURESS CITY 21P PNONE <br /> GENERAI CONTN�CTOR M4IL�ODRE55 CITY ZIP PHONE UC[NSE� <br /> ,.5�,r, �' — R� J�� ���sh�oT <br /> ' M HANICALCONTMGTOR M�IL��ORE55 Ci1Y Z�� /PIIONE - ���Eh_Z�� <br /> _ st C 7 <br /> ' LU BINaCONTRA.�OR MNL�D0�1E5 dtV ZIP PMONE UCENSE� �(IEI�V P� <br /> I .�� ' I <br /> CUSSOF WORK <br /> EW ❑ ADDITION I l ALTEFATION I I REPAIR I I DEMOLITION I � WOODSTOVE/FRPIINSERT l�l BUILDI�IGRELOCAiI <br /> F.N�NTIMPROVEMENTORINT�A�ORIlEMOOEIONLY'y.��f/';+ �II� 1' ^ C CTPEfi50N �ONENO. — <br /> ��40�� .�� <br /> CONTMCTPRICEOFWORN/ �2C/C �yz-G � �- <br /> OESCRIBEWONMANOSOU� EFOO f,C�NVOIVED 11 /]^ ��j/_� <br /> .s��– -��- o`��—_��i ai O�IJ <br /> ; vnovoseous oFewto —' ' HEREBY CERTIFY THAT I HAVE RE�D AND EXAMINED 7NIS <br /> 4 �PPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT.AL: <br /> � FROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � IEO�L0E5CRIPTIONOFPROPERTY�5110WNDElOWORAT1�CMfOUfICDPIF.S� yrOHK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �� iaT_�_ e�aK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �- AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � I�/�n^ � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � UWNEii OF THIS PROPEFiTY TO PERFOa!d THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> i — CCNTRACTORS LAW 18.2�RCW AND 296.200 WAC. <br /> �� SIGNRt FCONT C70R0 iM0 IZEUAGE T O�TE ��p� <br /> � PR0.IECTAO�RE55 pPPLIC�NT CIIYAUSI��NS� SINESSNl1ME �� <br /> �, 3 �- ak ,� � <br /> � PLUMBINfi MECHANICAL <br /> �� Np, TYPE OF FI%TUHE OR ITEM FEE NO. TVPE OF EOUIPMENT <br /> FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDIG UNITS—H.P. _�_ <br /> , BATHTUB �n FORCED AIR SYSTEMS—B.T.U. M E.A. � _ <br /> . LAVATORY(WASH BASIN) UNIT HEATEHS—B.T.U. M _� <br /> ' SHOWER <br /> � CLOTHES DHYERS ' <br /> KITCHEN SINK 8 DISP VEN?ILATION FAN �_ <br /> ' OISHWASHER L"� RANGEHOOD � <br /> � WATER HEATER <br /> � LAUNDRYTFAY � <br /> ' CLOTHES WASHER WOOD STOVE ' <br /> � URINAL METAL FIREPLACE 8 CHIMNEV ' <br /> DRINKING FOUNTAIN � FIREPLACE�NSERT � <br /> �� FLOOR DRAIN HEAT PUMP � <br /> � BACKFLOW PREVENTERS I GAS PIPING � <br /> - ROOF ORAINS—RAINLEADERS � EXHAUST FAN ' <br /> � <br /> SINK(SERVICE—�AF,ETC.) � � <br /> � <br /> � <br /> � r ' <br /> , <br /> , ; ' <br /> SUB TOTAL $ �Ip SIIB TOTAL $ <br /> PERMIT $ PERMIT $ � <br /> TOTALFEE $ ' TOTALFEE $ / ' <br /> . FECEIPf NO. <br /> PRONTSETBRCN REARSEIU�CR SIDES[iA�CI� PLANGIIECN UMBEP FEE � � ��n/ <br /> � Zo � Z� � 90 av9 39�• • <br /> � uSExone �oinnen V�C�Ni51TE FEES VALUATION FEE <br /> _2 Z, I I YES i I NO BUILDING � � � � 'O <br /> ` lYPEOfCONSt.�LLOWABLE IYPEOiGONSt.AC1UAl Dcar��� xoaun'[�uM4uxn5 � ' <br /> WW� � <br /> ' , / , /�/� D �3 PLUMBING _ ' <br /> 1 /�� v /� .A <br /> � - � !� 'rlc� <br /> • SIIEOFBLO(3 NO.OFSTOflIES BAS'MFNT MLCHANICAL <br /> � a1Y6s� � 4Zbc�nr a I i VES � NO ' <br /> � oTrier� ��r�. <br /> OCCUPANCYLOAO FIRESPfiNNLERSflEOD MEIGNTLIMIlAi1DN i , <br /> � I I YES �NO Z S� STATEBUILDINGSU(iCHARGE i <br /> � REASONFORSPRINq.ERS � <br /> STATE ENE(iGV SURCIIARGE ' _� <br /> APPUGATIONACG,BY PLANSAPPROVED�Y CITYOFEVERETT PU�LICWORKS �`^� <br /> . LOCALSALES � a <br /> j�� TAX COUE IS 3105 TOTAL ' <br /> i <br /> i - <br /> � . .... . - . . .. . - . ,, . . ,,. <br />